Unsafe

Together they are heavy on the body and prone to thought loops, and coming down from the amphetamine while the DOx is still going is very anxious.

Do this

Avoid this combination.

General answer for Amphetamines: nothing specific to these two is documented.

Where the risk isTap for why
In an emergency, call 911911Never Use AlonePoison Control
What to do
  • Say what was taken and how much.Responders need it, and in most US states Good Samaritan laws protect both of you from drug possession charges when you call for an overdose.
  • Unresponsive: put them on their side, tilt the head back, and stay until help arrives.Never leave someone alone to “sleep it off”.
  • Never Use Alone 1-800-484-3731Stays on the line and sends help if you stop responding.
  • Full steps: what to do if it is already happeningOverdose signs, the recovery position, what to say on the call, and whether you can be charged for making it.
  • Poison Control 1-800-222-1222Free and 24/7, for “is this bad?” before it becomes an emergency.
What “Unsafe” means

Risk of serious physical or psychological harm. Not recommended under any circumstances.

How the ratings work
The longer explanation

The combined stimulating effects of the two can lead to an uncomfortable body-load, while the focusing effects of amphetamine can easily lead to thought loops. Coming down from amphetamines while the DOx is still active can be quite anxiogenic.

Sources (1)

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Other names
DOx
dom, doc, doi, dob, don
Methylphenidate
ritalin, ritalin la, concerta, focalin, dexmethylphenidate, methylin
Not an amphetamine, but mixes much like one — most answers here are Adderall's
Also searched asdox and Ritalin, dox and ritalin la

Related combinations

All combinations →

Can you mix DOx and Methylphenidate (Ritalin)?

MixSafe rates mixing DOx and Methylphenidate as "Unsafe" — risk of serious physical or psychological harm. Not recommended under any circumstances. No interaction specific to DOx and Methylphenidate is documented; this is the default for Amphetamines. Source: TripSit drug combination chart, retrieved 2026-08-20. Educational information, not medical advice.

This is a class-level answer, inherited from Amphetamines. Nothing specific to this exact pair is documented, so treat it as the default for the class rather than a measurement of these two drugs together.